• Early Recognition of Sepsis

    Early Recognition of Sepsis Patients with sepsis, now defined as a severe infection with some degree of associated organ dysfunction, make up a large proportion of the critically ill population and, although outcomes have improved over the last decade, mortality rates remain above 20-30%, and even close to 40% when shock is present. There are no...

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  • Bundling Management of Acute Kidney Injury in Critically Ill Patients

    Authors Rajit K. Basu , MD Center for Acute Care Nephrology Cincinnati Children’s Hospital and Medical Center University of Cincinnati, Department of Pediatrics Cincinnati, Ohio, USA Stuart L. Goldstein , MD Center for Acute Care Nephrology Cincinnati Children’s Hospital and Medical Center University of Cincinnati, Department of Pediatrics...

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  • Metabolic and Nutritional Issues in the ICU

    Authors Olav Rooyackers , PhD Professor of Anaesthesia and Intensive Care Medicine Division of Anaesthesia at CLINTEC, Karolinska Institutet Stockholm, Sweden Jan Wernerman, MD PhD Professor of Anaesthesiology and Intensive Care Medicine Division of Anaesthesia at CLINTEC, Karolinska Institutet Stockholm, Sweden Senior Consultant...

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  • Diaphragmatic Ultrasonography: an Underutilised Tool

    Authors Alain Broccard , MD, FCCP Professor of Medicine Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota Medical Director of Critical Care and Respiratory Services Fairview Southdale Hospital Edina, MN, USA [email protected] Damien Tagan , MD, MHA Lecturer, Lausanne University Head of Medical...

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  • Evidence in Intensive Care: An Interview with Professor John Marini

    You presented at ISICEM 2014 on the Round Table conference on “Evidence-based care: New directions". What were the key themes from this? The rationale was to draw together experts from diverse areas to share ideas regarding how to do better in gathering the data needed to guide clinical practice of intensive care. As a field, we have made...

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  • "Like Firemen Going into a Fire": Moral Distress in the Intensive Care Unit

    Authors Courtenay R. Bruce , JD, MA Assistant Professor of Medicine and Medical Ethics Center for Medical Ethics & Health Policy Baylor College of Medicine Houston, Texas, USA Director of Biomedical Ethics Program Houston Methodist Hospital System Houston, Texas, USA Janice L. Zimmerman, MD Division Head, Critical Care Medicine Department...

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  • Maintaining Normal Day/Night Cycles in the ICU Could Benefit Heart Attack Patients

    Normal day and night cycles could improve recovery from heart attack for hospitalised patients, according to researchers from the University of Guelph in Canada.   Their study shows for the first time that interrupting diurnal rhythms impairs healing immediately after a heart attack. Researchers already knew that circadian rhythms can affect...

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  • CPR Instruction from Emergency Call Handlers Increases Child Survival

    Children who suffer out-of-hospital cardiac arrest are more likely to survive and have good brain function if call handlers/ dispatchers instruct bystanders on CPR, according to a large Japanese study published in the Journal of the American Heart Association.   “Dispatcher-assisted bystander CPR increased bystander CPR delivery rate and was...

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  • Not Enough Kidney Patients Receive Home Dialysis, Says Australian Study

    Many kidney failure patients in Australia who could benefit from undergoing dialysis at home are being treated in hospitals and dialysis units, according to a study published in the Clinical Journal of the American Society of Nephrology (CJASN). This is creating significant costs for healthcare providers and causing unnecessary disruptions to patients'...

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  • Depression Hits More than One in Three Critical Illness Survivors

    Depression affects more than one out of three survivors of critical illness, according to one of the largest studies to investigate the mental health and functional outcomes of critical care survivors, published in The Lancet Respiratory Medicine.   With around 5 million patients admitted to intensive care units (ICUs) in the United States alone,...

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